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Learn About Your New Advantage Benefits Debit Card

New for 2022! You now have a prepaid debit card you can use to pay for certain dental, vision, hearing and over-the-counter items.

For details about what your card covers and how it works, select your plan below.

Background image: The Samaritan Medicare Advantage Benefits card..

Are you curious about your over-the-counter benefits? Review the drug list for qualifying items.

2022 Over-the-Counter-Drug List

If you purchased an over-the-counter item before you received your benefits card, your card did not work, or an item was not covered when you think it should have been, you can request reimbursement by completing this form. 

Reimbursement Claim Form

Do you need to replace a benefit card that was lost, stolen or not received?

Go to MyHealthPlan.samhealth.org, log in and then click on the button that says, “Benefit Card Login”. Once in the portal, you can report the first card sent as lost or stolen and a new card will be mailed to you. Another option is to contact Customer Service and request a new card be mailed.

 

Your Medical & Dental Coverage

If you need additional copies of your member materials, please contact Customer Service.

Your Plan Benefits

Click on the link below to download our Summary of Benefits and review details about your plan’s medical, dental and prescription drug benefits, copays, coinsurance and more.

2022 Summary of Benefits - Conventional, Premier and Premier Plus Plans
2022 Summary of Benefits - Special Needs Plan

For more detailed plan information including how to use the plan’s coverage to obtain medical services, your rights and responsibilities as a member, important phone numbers and other resources, see your plan’s Evidence of Coverage.

2022 Evidence of Coverage - Conventional Plan
2022 Evidence of Coverage - Premier Plan
2022 Evidence of Coverage - Premier Plan Plus
2022 Evidence of Coverage - Special Needs Plan

To see how your plan benefits have changed from 2021 to 2022, see your plan’s Annual Notice of Changes.

2022 Annual Notice of Changes - Conventional Plan
2022 Annual Notice of Changes - Premier Plan
2022 Annual Notice of Changes - Premier Plan Plus
2022 Annual Notice of Changes - Special Needs Plan

To learn which medical services, procedures, supplies and equipment require our written authorization before being performed or supplied, review our 2022 Prior Authorization List.

How to Use Your Dental Coverage

How Do I Find a Dental Provider & Obtain Services?

  1. Contact our contracted dental provider, or
  2. Many other dentists who have not opted out of Medicare will accept Samaritan Advantage. If you need assistance locating a dental provider who has not opted out of Medicare, call a Customer Service team member at 541-768-4550, toll free 800-832-4580, (TTY 800-735-2900) to find one near you.

What If I Have More Questions?

Our Customer Service Team is happy to help. Call us at 541-768-4550 or toll free 800-832-4580, (TTY 800-735-2900). We are here to serve you.
Customer Service is available:

  • Oct. 1 to March 31: Daily, from 8 a.m. to 8 p.m.
  • April 1 to Sept. 30: Monday through Friday, from 8 a.m. to 8 p.m.

*Samaritan Advantage cannot pay for services rendered by providers who have opted-out of Medicare.

Page updated 5/4/2022